Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.67 / $7.67 / $12.29	Facility	26	$7.67	$7.67	$12.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $29.92 / $56.43	Professional		$25.08	$29.92	$56.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $8.16 / $23.03	Professional	26	$6.69	$8.16	$23.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.82 / $20.90 / $28.31	Professional	TC	$17.82	$20.90	$28.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $23.73 / $33.47	Professional		$23.73	$23.73	$33.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.13 / $9.75	Professional	26	$6.92	$8.13	$9.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $62.90 / $89.91	Professional		$24.52	$62.90	$89.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $11.68 / $16.87	Professional	26	$7.87	$11.68	$16.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.64 / $51.90 / $73.03	Professional	TC	$16.64	$51.90	$73.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $18.97 / $28.96	Professional		$6.96	$18.97	$28.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $8.11	Facility	26	$8.11	$8.11	$8.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $48.96 / $95.40	Professional		$25.80	$48.96	$95.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $10.22 / $17.93	Professional	26	$7.44	$10.22	$17.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.68 / $34.22 / $61.67	Professional	TC	$18.68	$34.22	$61.67
United Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $33.10 / $63.04	Professional		$22.47	$33.10	$63.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.75 / $8.73 / $15.40	Professional	26	$6.75	$8.73	$15.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.21 / $24.27 / $47.72	Professional	TC	$17.21	$24.27	$47.72